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F0851
F

Failure to Submit Required PBJ Staffing Data to CMS

Phoenix, Arizona Survey Completed on 05-30-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to submit the required direct care staffing information and CASPER Payroll-Based Journal (PBJ) data to CMS for one quarter, specifically for fiscal year quarter four (July 1 - September 30) 2024. This deficiency was identified through a review of the facility's PBJ Staffing Data Report, which showed missing data for the specified quarter. Attempts to interview the staffing coordinator responsible for PBJ data submission were unsuccessful, as the individual was not available. Further interviews revealed that the previous staffing coordinator, who was responsible for submitting PBJ data, was no longer employed at the facility, and the new staffing coordinator had not yet assumed these responsibilities. The Assistant Director of Nursing (ADON) was not familiar with the PBJ data submission process, and the Regional Compliance Director of Nursing confirmed that there was currently no staffing coordinator in place. It was acknowledged by staff that the prior Administrator and DON were aware of the missed submission, but the reason for the failure was not provided.

See complete original report
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